Common Drugs Flashcards

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1
Q

What is the trade name of Diazepam?

A

Valium

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2
Q

What is the onset and duration of Diazepam?

A

Onset:1-5 min IV, 15-30 min IM,
Duration: 15-60

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3
Q

What is the classification of Diazepam?

A

Benzodiazepine

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4
Q

What is the action of Diazepam?

A

Induces Amnesia and sedation, raises seizure threshold

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5
Q

What are the contra/ cautions of Diazepam?

A

Respiratory depression, coma, head injury

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6
Q

What are the indications of Diazepam?

A

Seizures, chemical sedation, anxiety

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7
Q

What are the side/ adverse effects of Diazepam?

A

respiratory depression, muscle weakness

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8
Q

What is the route/ administration of Diazepam?

A

IV/ IO/ Rectal every 5 min

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9
Q

What is the adult dose of Diazepam?

A

5-10 mg (max 30 mg), cut dose in half for patients on narcotics or alcohol

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10
Q

What is the pediatric dose of Diazepam?

A

0.1 mg/kg (max 10 mg)

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11
Q

What is the trade name of Fentanyl?

A

Sublimaze

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12
Q

What is the onset and duration of Fentanyl?

A

Fast less than 5 minutes

Duration: Moderate 30 minutes or less

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13
Q

What are the contra. cautions of Fentanyl?

A

Traumatic brain injury, patients takng MAOI, Myasthenia gravis, respiratory depression

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14
Q

What are the side/ adverse effects of Fentanyl?

A

CNS depression, nausea, vomiting

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15
Q

What is the route/ administration of Fentanyl?

A

IV/IN/IM/IO

doses may be given every 10 minutes

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16
Q

What is the adult dose of Fentanyl?

A

50-100mcg (max 200 mcg)

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17
Q

What is the pediatric dose of Fentanyl?

A

1 mcg/kg (max 75 mcg per dose)

2 mcg/kg for intranasal max 100 mcg per dose

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18
Q

What is the onset and duration of Ketamine?

A

Onset: 30 seconds
Duration: 5-10 min

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19
Q

What are the contra/ cautions of Ketamine?

A

severe hypertension

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20
Q

What are the side/ adverse effects of Ketamine?

A

Hypertension, Tachycardia, Increased ICP, Visual hallucinations

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21
Q

What is the route/ administration of Ketamine?

A

Pain or anxiety: IV/IO may be given every 5 minutes, IN dose given once.
Chemical sedation/ excited delirium: IV/IO/IM given once.

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22
Q

What is the adult dose of Ketamine?

A

Pain/anxiety: 10-20 mg (max 40 mg) IN: 50mg

Chemical sedation: 2 mg/kg, IM:4 mg/kg

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23
Q

What is the pediatric dose of Ketamine?

A

Pain/anxiety:0.15-.3 mg/kg (max .6mg/kg) IN .7mg/kg

Chemical sedation: 1mg/kg, IM:3mg/kg

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24
Q

What is the trade name of Lorazepam?

A

Ativan

25
Q

What is the onset/ duration of Lorazepam?

A

Onset: 1-3 min IV, 10-30 min IM
Duration: 2hrs

26
Q

What is the action of Lorazepam?

A

induces amnesia and sedation, raises seizure threshold.

27
Q

What is the indication of Lorazepam?

A

Seizures, severe anxiety, sedation

28
Q

What are the contra/ cautions of Lorazepam?

A

Coma, suspected drug abuse

29
Q

What are the side/ adverse effects of Lorazepam?

A

CNS depression, hypotension, bradycardia

30
Q

What is the route/ administration of Lorazepam?

A

IV/IO may be given every 5 minutes

31
Q

What is the adult dose of Lorazepam?

A

1-2 mg max of 4 mg

32
Q

What is the pediatric dose of Lorazepam?

A

0.1 mg/kg

33
Q

What is the trade name of Midazolam?

A

Versed

34
Q

What is the onset/ duration of Midazolam?

A

Onset: 1-3 min IV
Duration: 2-6 hours IV

35
Q

What is the action of Midazolam?

A

induces amnesia and sedation, raises seizure threshold.

36
Q

What are the contra/ cautions of Midazolam?

A

respiratory depression, coma

37
Q

What are is the side effect of Midazolam?

A

respiratory depression

38
Q

What is the route/ administration of Midazolam?

A

IV/IO titrate to effect, IN, IM

39
Q

What is the adult dose of Midazolam?

A

IV/IO 2 mg increments (max of 10 mg)
IN: 5 mg each nostril (max 10 mg)
IM: 5 mg may be repeated once after 10 min (max 10 mg)
Cut in half for patients on narcotics or alcohol

40
Q

What is the pediatric dose of Midazolam?

A

IV/IO: 0.1 mg/kg
IN: 0.2 mg/kg
IM: 0.2 mg/kg may be repeated once after 10 min
Cut in half for patients on narcotics or alcohol

41
Q

What is the onset/ duration of Morphine?

A

Onset:1-2 min
Duration: 2-7 hrs

42
Q

What is the action of Morphine?

A

Alleviates pain, decreases myocardial oxygen demand by lowering BP

43
Q

What is the contra/ cautions of Morphine?

A

Head injury, CVA, depressed respiratory drive, undiagnosed abdominal pain, hypotension, MAOI use within 14 days.

44
Q

What are the side/ adverse effects of morphine?

A

sedation, CNS depression, syncope

45
Q

What is the route/ administration of Morphine?

A

IV/IO/IM may be given every 10 minutes, titrate to effect.

46
Q

What is the adult dose of Morphine?

A

4-10mg (max 20 mg) call OLMC for additional doses

47
Q

What is the pediatric dose of Morphine?

A

0.1 mg/kg (max 4 mg per dose)

48
Q

What is the onset/ duration Naloxone?

A

Onset: 2 min
Durations: 30-60 min (not as long as heroin)

49
Q

What is the contra/ caution of Naloxone?

A

Caution with narcotic- dependent patients

50
Q

What are the side/ adverse effects of Naloxone?

A

Withdrawal symptoms, nausea, vomiting, seizures.

51
Q

What is the route/ administration of Naloxone?

A

IV/IN/IM/IO may repeat once

52
Q

What is the adult dose of Naloxone?

A

0.4-2.0 mg

53
Q

What is the pediatric dose of Naloxone?

A

0.1 mg/kg

54
Q

What is the onset/ duration of Ondansetron?

A

Onset: 15-30 min
Duration: 3-6 hrs

55
Q

What are the contra/ cautions of Ondansetron?

A

Hypersensitivity, GI obstruction, use caution with liver disease pt’s

56
Q

What are the side/adverse effects of Ondansetron?

A

ECG irregularities (rare), dizziness, headache, hiccups, pruritus, chills

57
Q

What is the route/ administration of Ondansetron?

A

IV/IM/PO

58
Q

What is the adult dose of Ondansetron?

A

4-8 mg

59
Q

What is the pediatric dose of Ondansetron?

A

0.1 mg/kg (max 4 mg)